<!doctype html>
<html>
<head>
<meta charset="utf-8">
<title></title>
<link href="../../css/easyui.css" rel="stylesheet"><!--easyui-->
<link href="../../css/icon.css" rel="stylesheet"><!--easyui-->
<link href="../../css/pop.css" rel="stylesheet">
<script src="../../js/jquery.min.js"></script>
<script src="../../js/jquery.easyui.min.js"></script><!--easyui-->
<script src="../../js/easy-table-use.js"></script><!--easyui表格调用导入-->
</head>

<body>
    	<div class="pop-title">编辑个人基本信息</div>
        <div class="pop-box-content">
            <div class="easyui-tabs border-tabs" style="width:830px;height:450px;">
                <div class="tabs-relative" title="基本情况">
                  <ul class="photo-step">
                      <li>
                        <div class="user-photo">
                            <img src="../../../images/user_pic.jpg">
                            <a href="#"><img src="../../images/pen.png">点击上传头像</a>
                        </div>
                        <table class="table-search" width="645" border="0" cellspacing="0" cellpadding="0">
                            <tr>
                                <th width="95"><span>*</span>姓名：</th>
                                <td width="125"><input class="easyui-textbox" type="text" style="width:125px;height:28px;"></td>
                                <th width="95"><span>*</span>身份证号码：</th>
                                <td><input class="easyui-textbox" type="text" style="width:125px;height:28px;"></td>
                                <th width="95"><span>*</span>性别：</th>
                                <td width="95">
                                    <select class="easyui-combobox" style="width:125px;height:28px;" data-options="editable:false">
                                        <option>请选择</option>
                                        <option>男</option>
                                        <option>女</option>
                                    </select>
                                </td>
                            </tr>
                            <tr>
                                <th>曾用名：</th>
                                <td><input class="easyui-textbox" type="text" style="width:125px;height:28px;"></td>
                                <th><span>*</span>出生日期：</th>
                                <td><input class="easyui-datebox" data-options="formatter:myformatter,parser:myparser" style="width:125px;height:28px;"></td>
                                <th><span>*</span>民族：</th>
                                <td>
                                    <select class="easyui-combobox" style="width:125px;height:28px;" data-options="editable:false">
                                        <option>请选择</option>
                                        <option>汉族</option>
                                        <option>少数民族</option>
                                    </select>
                                </td>
                            </tr>
                            <tr>
                                <th><span>*</span>联系电话：</th>
                                <td colspan="1">
                                    <input class="easyui-textbox" type="text" style="width:125px;height:28px;">
                                </td>
                                <th><span>*</span>是否未成年：</th>
                                <td>
                                    <select class="easyui-combobox" style="width:125px;height:28px;" data-options="editable:false">
                                        <option>请选择</option>
                                        <option>是</option>
                                        <option>否</option>
                                    </select>
                                </td>
                                <th><span>*</span>未成年类型：</th>
                                <td colspan="1">
                                    <input class="easyui-textbox" type="text" style="width:125px;height:28px;">
                                </td>
                            </tr>
                        </table>
                      </li>
                      <li>
                        <table class="table-search" width="760" border="0" cellspacing="0" cellpadding="0">
                            <tr>
                              <th><span>*</span>户籍性质：</th>
                              <td>
                                  <select class="easyui-combobox" style="width:95px;height:28px;" data-options="editable:false">
                                      <option>请选择</option>
                                      <option>城镇户籍</option>
                                      <option>农村户籍</option>
                                      <option>港澳台籍</option>
                                      <option>外国籍</option>
                                      <option>无国籍</option>
                                      <option>其他</option>
                                  </select>
                              </td>
                              <th><span>*</span>人户分离：</th>
                              <td>
                                  <select class="easyui-combobox" style="width:95px;height:28px;" data-options="editable:false">
                                      <option>请选择</option>
                                      <option>人在户不在</option>
                                      <option>户在人不在</option>
                                      <option>人户一致</option>
                                  </select>
                              </td>
                              <th><span>*</span>分离原因：</th>
                              <td>
                                <input class="easyui-textbox" type="text" style="width:95px;height:28px;">
                              </td>
                              <th><span>*</span>婚姻状况：</th>
                                <td colspan="5">
                                  <select class="easyui-combobox" style="width:95px;height:28px;" data-options="editable:false">
                                        <option>请选择</option>
                                        <option>未婚</option>
                                        <option>已婚</option>
                                        <option>丧偶</option>
                                        <option>离异</option>
                                    </select>
                                </td>
                            </tr>
                            <tr>
                                <th><span>*</span>户籍地：</th>
                                <td colspan="7">
                                  <label>
                                    <select class="easyui-combobox" style="width:95px;height:28px;" data-options="editable:false">
                                        <option>请选择</option>
                                        <option>上海</option>
                                        <option>浙江</option>
                                    </select>
                                    省
                                  </label>
                                  <label>
                                    <select class="easyui-combobox" style="width:95px;height:28px;" data-options="editable:false">
                                        <option>请选择</option>
                                        <option>上海</option>
                                        <option>杭州</option>
                                    </select>
                                    市
                                  </label>
                                  <label>
                                    <select class="easyui-combobox" style="width:95px;height:28px;" data-options="editable:false">
                                        <option>请选择</option>
                                        <option>上海</option>
                                        <option>杭州</option>
                                    </select>
                                    县
                                  </label>
                                  <label>
                                    <input class="easyui-textbox" type="text" style="width:95px;height:28px;">
                                    街道
                                  </label>
                                  <label>
                                    ，详细门牌号：
                                    <input class="easyui-textbox" type="text" style="width:95px;height:28px;">
                                  </label>
                                </td>
                            </tr>
                            <tr>
                                <th><span>*</span>居住地：</th>
                                <td colspan="7">
                                  <label>
                                    <select class="easyui-combobox" style="width:95px;height:28px;" data-options="editable:false">
                                        <option>请选择</option>
                                        <option>上海</option>
                                        <option>浙江</option>
                                    </select>
                                    省
                                  </label>
                                  <label>
                                    <select class="easyui-combobox" style="width:95px;height:28px;" data-options="editable:false">
                                        <option>请选择</option>
                                        <option>上海</option>
                                        <option>杭州</option>
                                    </select>
                                    市
                                  </label>
                                  <label>
                                    <select class="easyui-combobox" style="width:95px;height:28px;" data-options="editable:false">
                                        <option>请选择</option>
                                        <option>上海</option>
                                        <option>杭州</option>
                                    </select>
                                    县
                                  </label>
                                  <label>
                                    <input class="easyui-textbox" type="text" style="width:95px;height:28px;">
                                    街道
                                  </label>
                                  <label>
                                    ，详细门牌号：
                                    <input class="easyui-textbox" type="text" style="width:95px;height:28px;">
                                  </label>
                                </td>
                            </tr>
                        </table>
                      </li>
                      <!--
                      <li>
                        <table class="table-search" width="760" border="0" cellspacing="0" cellpadding="0">
                            <tr>
                              <th><span>*</span>原政治面貌：</th>
                              <td>
                                <select class="easyui-combobox" style="width:95px;height:28px;" data-options="editable:false">
                                      <option>请选择</option>
                                      <option>中共党员</option>
                                      <option>中共预备党员</option>
                                  </select>
                              </td>
                              <th>政治面貌：</th>
                              <td>
                                <select class="easyui-combobox" style="width:95px;height:28px;" data-options="editable:false">
                                      <option>请选择</option>
                                      <option>中共党员</option>
                                      <option>中共预备党员</option>
                                  </select>
                              </td>
                              <th><span>*</span>健康状况：</th>
                              <td>
                                  <select class="easyui-combobox" style="width:95px;height:28px;" data-options="editable:false">
                                      <option>请选择</option>
                                      <option>良好</option>
                                      <option>一般</option>
                                      <option>较差</option>
                                  </select>
                              </td>
                              <th>具体健康状况：</th>
                              <td>
                                <input class="easyui-textbox" type="text" style="width:95px;height:28px;">
                              </td>
                            </tr>
                            <tr>
                              <th><span>*</span>有无护照：</th>
                              <td>
                                  <select class="easyui-combobox" style="width:95px;height:28px;" data-options="editable:false">
                                      <option>请选择</option>
                                      <option>有</option>
                                      <option>无</option>
                                  </select>
                              </td>
                              <th>护照号码：</th>
                              <td>
                                <input class="easyui-textbox" type="text" style="width:95px;height:28px;">
                              </td>
                              <th><span>*</span>有无回乡证：</th>
                              <td>
                                  <select class="easyui-combobox" style="width:95px;height:28px;" data-options="editable:false">
                                      <option>请选择</option>
                                      <option>有</option>
                                      <option>无</option>
                                  </select>
                              </td>
                              <th>回乡证号码：</th>
                              <td>
                                <input class="easyui-textbox" type="text" style="width:95px;height:28px;">
                              </td>
                            </tr>
                            <tr>
                              <th><span>*</span>有无港澳台身份证：</th>
                              <td>
                                  <select class="easyui-combobox" style="width:95px;height:28px;" data-options="editable:false">
                                      <option>请选择</option>
                                      <option>有</option>
                                      <option>无</option>
                                  </select>
                              </td>
                              <th>港澳台身份证号码：</th>
                              <td>
                                <input class="easyui-textbox" type="text" style="width:95px;height:28px;">
                              </td>
                              <th><span>*</span>有无港澳台通行证：</th>
                              <td>
                                  <select class="easyui-combobox" style="width:95px;height:28px;" data-options="editable:false">
                                      <option>请选择</option>
                                      <option>有</option>
                                      <option>无</option>
                                  </select>
                              </td>
                              <th>港澳台通行证号码：</th>
                              <td>
                                <input class="easyui-textbox" type="text" style="width:95px;height:28px;">
                              </td>
                            </tr>
                            <tr>
                                <th><span>*</span>就业就学情况</th>
                                <td>
                                  <select class="easyui-combobox" style="width:95px;height:28px;" data-options="editable:false">
                                      <option>请选择</option>
                                      <option>就业</option>
                                      <option>就学</option>
                                      <option>务农</option>
                                      <option>无业</option>
                                  </select>
                                </td>
                                <th>现工作单位：</th>
                                <td>
                                  <input class="easyui-textbox" type="text" style="width:95px;height:28px;">
                                </td>
                                <th>单位联系电话：</th>
                                <td>
                                  <input class="easyui-textbox" type="text" style="width:95px;height:28px;">
                                </td>
                            </tr>
                            <tr>
                                <th><span>*</span>是否有传染病史：</th>
                                <td>
                                  <select class="easyui-combobox" style="width:95px;height:28px;" data-options="editable:false">
                                        <option>请选择</option>
                                        <option>是</option>
                                        <option>否</option>
                                    </select>
                                </td>
                                <td colspan="6">
                                  <label><input name="crbs" type="checkbox" value="" />疥疮（溃烂） </label> 
                                  <label><input name="crbs" type="checkbox" value="" />肺结核 </label> 
                                  <label><input name="crbs" type="checkbox" value="" />肝炎 </label> 
                                  <label><input name="crbs" type="checkbox" value="" />艾滋病 </label> 
                                  <label><input name="crbs" type="checkbox" value="" />性病 </label> 
                                  <label><input name="crbs" type="checkbox" value="" />其它传染病 </label> 
                                </td>
                            </tr>
                            <tr>
                                <th><span>*</span>是否心理健康：</th>
                                <td>
                                  <select class="easyui-combobox" style="width:95px;height:28px;" data-options="editable:false">
                                      <option>请选择</option>
                                      <option>是</option>
                                      <option>否</option>
                                  </select>
                                </td>
                                <th>鉴定机构：</th>
                                <td>
                                  <input class="easyui-textbox" type="text" style="width:95px;height:28px;">
                                </td>
                                <th>具体心理健康状况：</th>
                                <td>
                                  <input class="easyui-textbox" type="text" style="width:95px;height:28px;">
                                </td>
                                <th>居委会：</th>
                                <td>
                                  <input class="easyui-textbox" type="text" style="width:95px;height:28px;">
                                </td>
                            </tr>
                        </table>
                      </li>
                      -->
                      <li>
                        <table class="table-search" width="760" border="0" cellspacing="0" cellpadding="0">
                          <tr>
                            <th><span>*</span>原矫正机构：</th>
                            <td>
                              <input class="easyui-textbox" type="text" style="width:195px;height:28px;">
                            </td>
                            <th><span>*</span>原宣告日期：</th>
                            <td>
                              <input class="easyui-datebox" type="text" style="width:195px;height:28px;">
                            </td>
                          </tr>
                          <tr>
                            <th><span>*</span>原矫正起始日期：</th>
                            <td>
                              <input class="easyui-datebox" type="text" style="width:88px;height:28px;">至
                              <input class="easyui-datebox" type="text" style="width:88px;height:28px;">
                            </td>
                            <th><span>*</span>本市纳管日期：</th>
                            <td>
                              <input class="easyui-datebox" type="text" style="width:195px;height:28px;">
                            </td>
                          </tr>
                        </table>
                      </li>
                      <li>
                        <table class="table-search" width="760" border="0" cellspacing="0" cellpadding="0">
                          <tr>
                            <th>派出所民警：</th>
                            <td>
                              <input class="easyui-textbox" type="text" style="width:195px;height:28px;">
                            </td>
                            <th>联系方式：</th>
                            <td>
                              <input class="easyui-textbox" type="text" style="width:195px;height:28px;">
                            </td>
                          </tr>
                          <tr>
                            <th>派出：</th>
                            <td>
                              <input class="easyui-textbox" type="text" style="width:195px;height:28px;">
                            </td>
                          </tr>
                          <tr>
                            <th>司法所工作人员：</th>
                            <td>
                              <input class="easyui-textbox" type="text" style="width:195px;height:28px;">
                            </td>
                            <th>联系方式：</th>
                            <td>
                              <input class="easyui-textbox" type="text" style="width:195px;height:28px;">
                            </td>
                          </tr>
                          <tr>
                            <th>矫正社工：</th>
                            <td>
                              <input class="easyui-textbox" type="text" style="width:195px;height:28px;">
                            </td>
                            <th>联系方式：</th>
                            <td>
                              <input class="easyui-textbox" type="text" style="width:195px;height:28px;">
                            </td>
                          </tr>
                          <tr>
                            <th>矫正志愿者：</th>
                            <td>
                              <input class="easyui-textbox" type="text" style="width:195px;height:28px;">
                            </td>
                            <th>联系方式：</th>
                            <td>
                              <input class="easyui-textbox" type="text" style="width:195px;height:28px;">
                            </td>
                          </tr>
                          <tr>
                            <th>居委会工作人员：</th>
                            <td>
                              <input class="easyui-textbox" type="text" style="width:195px;height:28px;">
                            </td>
                            <th>联系方式：</th>
                            <td>
                              <input class="easyui-textbox" type="text" style="width:195px;height:28px;">
                            </td>
                          </tr>
                          <tr>
                            <th>就读学校代表：</th>
                            <td>
                              <input class="easyui-textbox" type="text" style="width:195px;height:28px;">
                            </td>
                            <th>联系方式：</th>
                            <td>
                              <input class="easyui-textbox" type="text" style="width:195px;height:28px;">
                            </td>
                          </tr>
                          <tr>
                            <th>监护人：</th>
                            <td>
                              <input class="easyui-textbox" type="text" style="width:195px;height:28px;">
                            </td>
                            <th>联系方式：</th>
                            <td>
                              <input class="easyui-textbox" type="text" style="width:195px;height:28px;">
                            </td>
                          </tr>
                          <tr>
                            <th>其他：</th>
                            <td>
                              <input class="easyui-textbox" type="text" style="width:195px;height:28px;">
                            </td>
                            <th>联系方式：</th>
                            <td>
                              <input class="easyui-textbox" type="text" style="width:195px;height:28px;">
                            </td>
                          </tr>
                        </table>
                      </li>
                    </ul>
                </div>
                <div class="tabs-relative" title="犯罪信息">
                  犯罪信息
                </div>
                <div class="tabs-relative" title="生活状况">
                  生活状况
                </div>
                <div class="tabs-relative" title="人际关系">
                	人际关系
                </div>
            </div>
            <div class="table-btn-box">
              <a class="easyui-linkbutton l-btn-blue pd10 add-save" style="height:28px;">保存</a>
              <a class="easyui-linkbutton pd10" style="height:30px;" onclick="Winpop.dialog.close();">取消</a>
            </div>
        </div>
        
</body>
</html>